간경변증 환자에서 신장 Doppler 초음파 - Resistive Index의 예후적 가치

박창영,조용균,김향,이상종,정을순,이영래,김병익,전경홍,유종현 대한소화기학회 1998 대한소화기학회지 Vol.30 No.2

Background/Aims: Kidney dysfunction in cirrhosis is a well recognized complication that often appears to develop abruptly in previously nonazotemic patients. Intrarenal vasoconstriction is an early hallmark of this functional renal failure because e;evatecl serum creatinine is a late feature of the hepatorenal syndrorne. Resistive index(RI) is the most widely used for estimation of intrarenal arteriolar vascular resistance. We have applied renal dup]ex Doppler ultrasonography to identify this early renal vasoconstriction in nonazotemic patients with liver cirrhosis. Methods: We prospectively measured RI, kidney and liver function and plasma level of renin activity, aldosterone and antidiuretic hormone in 12 healthy subjects, 13 cirrhotic patients without ascites, 22 cirrhotic patients with ascites, 7 cirrhotic patients with ascites and renal falure. Tnen, patiens were followed for 6 months. The incidence of renal failure in each groups were recored and ccrrelated with RI, liver and renal function. Results: RI was significantly increased in patients with cirrhosis(0.68±0.06) compared with healthy subjects(0.39±0.04). In 42 cirrhotic patients, it was significantly increased in patients with ascites(0.69±0.05) compared with patients without ascites(0.64±0.05) and correlated significantly to creatinine clearance(Cr=-0.61, p$lt;0.05). RI was significantly increased in patients with intractable ascites(0.72±0.04) compared with diuretics responded ascites(0.68±0.05). Kidney dysfunction subsequently developed in six(37%) of 16., who had an clevated RI.(≥0.70) In contrast, only one(4%) of 26 patients with a normal RI had kidney dysfunction. Conclusions: Renal duplex Doppler ultrasonography can identify high risk group for subsequenl development of renal dysfunction and be useful for treatment of ascites in cirrhotic patients with nonazotemia by detecting renal vasoconstriction.

복음서에 나타난 예수의 치유사역에 대한 이해

박창영 한국복음주의실천신학회 2010 복음과 실천신학 Vol.21 No.-

이 연구의 목적은 복음서에 나타난 예수의 치유사역에 대하여 고찰하는 것이다. 전체 복음서의 거의 5분의 1이 예수의 치유사역 및 그것에 의해 유발된 논의를 다루고 있다. 복음서에 나타난 예수의 치유사역은 전체적으로 볼 때 예수의 사역에서의 하나의 구성 요소였다. 치유사역은 다양한 형태로 일어났으며 신학적이며 실제적인 문제와 관계가 있었다. 마태복음은 예수의 치유 기사를 가장 많이 제시하고 있으며 마가복음과 누가복음이 이를 뒤따르고 요한복음이 가장 적게 나온다. 예수는 어느 곳을 가든지 사람을 치유하셨고, 사람은 치유자인 그분에게 매료되었다. 본 연구에서 알게 된 예수의 치유사역의 전형적인 형태는 다음과 같다: 1) 질병이나 연약성이 명명되고 묘사되었고, 2) 병자가 예수를 만나고, 3) 예수께서 그 사람을 말로, 접촉으로, 혹은 기술로 치유하셨고, 4) 갑작스럽게 그리고 눈에 보이는 치유가 일어났으며, 5) 주변의 사람은 놀라움과 경외감을 표현하게 된 점이다. 결국 치유가 그것이 예수의 삶에 있어서 그러하였던 것과 마찬가지로 초기 기독교 사상과 경험의 기본적인 부분이라고 할 수 있을 것이다. 따라서 교회의 사역에 있어서 치유의 지속은 기독교의 다른 기본적인 이념과의 치유의 통합적인 관계에서 잘 이해될 수 있어야 할 것이다. 최종적으로 이 연구를 통하여 우리가 알게 된 것은 예수의 치유사역이 예수께서 그들에게 깊은 관심을 가지고 계셨으며, 그들이 고통을 당할 때 그들과 함께 고통을 당하신 것이었다.

미만성 소장 부종과 복수를 동반한 호산구성 위장관염 1예

박창영,조용균,구은실,전우규,정을순,이상종,김병익,김명숙,김창섭,손정일,엄현주,박현덕 대한내과학회 2000 대한내과학회지 Vol.59 No.1

Eosinophilic gastroenteritis is an uncommon disorder of stomach, small bowel and colon characterized by peripheral blood eosinophilia, eosinophilic infiltration of the gut wall, and variable clinical symptoms. This disease was first described by Kaijser in 1937, and its cause was poorly understood. It may be related to allergy, which combines allergic rhinitis, allergic asthma, atopic dermatitis, food allergy and elevated IgE. The clinical symptoms and signs are variable according to the extents and depths of the eosinophilic infiltration. Endoscopic findings may show normal, nodular, ulcerative, or hemorrhagic mucosal changes, and biopsy findings reveal eosinophilic infiltration of mucosal and muscular layer. We diagnosed and treated a case of diffuse serosal eosinophilic gastroenteritis associated with ascites in a patient with allergic asthma who had severe abdominal pain, distention and watery diarrhea, and she dramatically responded to corticosteroid therapy.(Korean J Med 59:74-79, 2000)

복강내 악성질환에 있어서의 복수 Carcinoembryonic Antigen 측정의 진단적 의의

박창영,이만호,김광조,이상종,전승준,유영석 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1

Ascites may be caused by various benign and malignant diseases but it is sometimes difficult to determine whether the ascites is caused by benign or malinant diseases. Various diagnostic methods such as ascitic level and ascites/serum ratio of protein and LDH, cytology and peritonioscopy have been used in differentiating between benign and malignant ascites. Carcinoembryonic antigen (CEA) level in pleural effusion is known to be useful bo make the diagnosis of malignant disease in thoracic cavity. Lowenstein et al. (1978) reported that CEA level in ascites was many-fold higher than in serum in patients with malignant disease and ascites. In order to determine whether ascites CEA is of help to make diagnosis of malignant diseases in abdominal cavity, both ascites CEA and serum CEA were measured and analyzed in 49 patients with ascites who were admitted to this hospital from June 1988 to December 1990. The results are as follows: 1) The mean value of CEA level in ascites and serum in benign ascites group was 1.47 ng/㎖, 2. 40 ng/㎖, respectively. The upper limit of ascites and serum CEA in benign ascites group was 3. 37 ng/㎖, 5.56 ng/㎖, respectively. 2) The CEA level of malignant ascites group was significantly higher than that of the benign ascites group in ascites (p$lt;0.05) and in serum (p$lt;0.05). 3) Ascites CEA level was higher than 3.37 ng/㎖ in 10 of 25 patients with malignant ascites (40%), and 1 of 24 patients with benign ascites. (4%) In 4 patients, ascites CEA level was higher than 100 ng/㎖, all of them have malignant diseases in abdominal cavity. 4) Serum CEA level was higher than 5.56 ㎎/㎖ in 10 of 25 patients with malignant ascites (40%), and 3 of 24 patients with benign ascites (12%). In 4 patients, serum CEA level was higher than 100 ng/㎖, all of them have malignant diseases in abdominal cavity. 5) The specificity of ascites CEA for malignant disease in abdominal cavity was 96.0% positive predictability 91.0%, sensitivity 40.0%, and negative predictability 60.0%. 6) The specificity of serum CEA for malignant disease in abdominal cavity was 88.0%, positive predictability 77%, sensitivity 40.0% and negative predictability 58.0% 7) The cases of which ascites CEA level was greater than 3.37 ng/㎖ was divided into hepatoma group (27%) and nonhepatoma group (73.0%), each mean value was 18.45 ng/㎖, and 33. 57 ng/㎖, respectively. In summary, the measurement of ascites CEA level is useful in differentiating the existence of malignant diseases in abdominal cavity.

동일비료 장기연용에 따른 토양 및 식물체 양분변화 양상

박창영,전원태,박기도,박향미,김춘식,이동창 한국토양비료학회 2001 한국토양비료학회 학술발표회 Vol.2001 No.-

특집논문 : 유아세례 다시보기 ; 신약성서에 나타난 유아세례

박창영 성결대학교 성결교회와 역사연구소 2004 성결교회와 역사 Vol.5 No.-

복음서 지명의 역사성

박창영 聖潔大學校 聖潔神學硏究所 2002 聖潔神學硏究 Vol.7 No.-

The purpose of the study is to investigate the historicity of the gospel's place names. The focal point of New Testament studies in recent century has been the question of the historicity of the Gospel records. In this paper we will discuss the use of place names (esp. Jerusalem) in the Gospels as an attempt to support their historicity. Our concern is not to give all the archeological or geograpihical features of place names or places, but to investigate any internal evidence in the Gospels.

연령과 성별에 따른 대장 및 직장암의 분포 변화에 대한 관찰

박창영,이희무,이만호,조용균,전우규,이상종,김병익,최윤상,김명숙,성기철,편유장 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6

Background/Aims: Changes in subsite distribution of colorectal cancer have been shown in recent years. The carcinoma tend to shift to more proximal colon and this proximal shift is influenced by age and sex. This study was designed to delineate the relationship of age to subsite incidence of colorectal cancer and to define the role of gender in this difference. Method: We have analyzed the data by patients with colorectal cancer from 1985 to 1995 for elucidate the relationships between age, sex and prinmry location of colorectal cancer. 749 patients(male 454, female 295) were diagnosed of colorectal cancer performed by colonoscopy and/or sigmoidoeopy were divided into three groups by their location of cancer (Right colon: appendix, ascending colon, hepatic flexure, T-colon proximal 2/3 Left colon: T-colon distal 1/3, splenic flexure, descending colon, sigmoid colon Rectum: rectum). Result: 1) The mean age of all patients was 53.84±13.11 (yr). Mean ages of Right colon, Left colon, and Rectal cancer group were 55.54±14.12, 55.32±12.51, 52.22±13.09 (yr), respectively. The mean age of Right colon and Left colon cancer group is significantly older than that of Rectal cancer group (p=0.0040, p=0.0042). 2) In female age group over 56, mean age of Right colon cancer group is shown to be 3.35 and 4.82 years older than Left colon cancer group and Rectal cancer group, respectively (p=0.0062, p=0.0053) and Colon cancer tend to develop on more right side according to increase in age. 3) Above correlation was not observed below 55 of both sexes and male age group over 56. 4) No significant differences in histological differentiation and tumor stage were observed among the three groups. 5) The study was conducted to evaluate the difference in the locator of colorectal cancer between two following groups ; The first group diagnosed from 1985 to 1990 and the second group from 1991 to 199s, yet significant statistical difference was not observed. Conclusion: Age increase seems to show correlation with right shifting of colon cancer, and this correlation was most significant in old women age group. This fording suggests unknown factor strongly linked to age and sex might play important role in carcinogenesis of colorectal cancer.

고린도전서에 나타난 νομοζ의 의미

박창영 聖潔大學校 聖潔神學硏究所 1998 聖潔神學硏究 Vol.3 No.-

일반발표 - 토양화학 및 토양미생물 : 답전윤환시 (畓田輪換時) 작부체계와 (作付體系) 시비수준에 따른 토양화학성 및 작물별 수량변화

박창영,강위금,황계선,노영팔,정연태,이수관 한국토양비료학회 1993 한국토양비료학회 학술발표회 Vol.1993 No.50